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Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required

Vegetarians and vegans who may not get enough B12 from their diet, are at high risk of developing a B12 deficiency and could benefit from injections to prevent a deficiency

Then, your doctor inserts a thin, flexible tube (catheter) with a balloon at the tip through the needle

Whether youre managing a busy work schedule or simply want to feel your best, our team works with you to create a plan that supports long-term wellness not just short-term results

I started B 12 injections 3 monthly after the loading injections and it helped a little but the fatigue didnt clear as quickly as my doctor expected